Cathedral of Life Church
admin@cathedraloflifechurch.org
www.cathedraloflifechurch.org
(617)427-8975
Lifers support Form
Changing Communities one family at a time socially, economically & spiritually
Are you struggling with your health?
Yes
No
Are you struggling financially?
Yes
No
Are you having family or marital issues?
Yes
No
Are you struggling with your faith in God?
Yes
No
Have you received Jesus Christ as your Lord and Savior?
Yes
No
Not Sure
When I was a child
What are your gifts, talents, and or skills?
Music
Hospitality
Cooking
Fashion
Theatre//Film
Construction
Digital
production
Writing
Cleaning
Other
Write what gifts, talents, and or skills you have that is not listed above?
Full Name
*
First Name
Last Name
Address (Optional)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Format: (000) 000-0000.
E-mail
example@example.com
How did you hear about us?
*
Please Select
Newspaper
Internet
Magazine
Church member
Family
Friend
Other
Do you need prayer? Please list what you need prayer for?
Submit
Should be Empty: